LIVE · 497 PROCEDURES · 115 CLINICS
✦ PROTOCOL · NO 01

Knee pain,
two ways.

After a tweak, or just nagging — when the click, ache, or stiffness won’t leave. On the left, the conventional path your insurance expects. On the right, the movement-first path your feed keeps recommending. We mapped both — week by week, dollar by dollar.

Knee X-ray on lightboxATG split squatKnee MRI on viewboxBackwards sled drag
1 IN 4 ADULTS
2 TRACKS · 10 STEPS
UPDATED MAY 2026
TRACK · A · conventional

Conventional medicine

Triage by imaging, manage with NSAIDs and PT, escalate to specialist if persistent.

TRACK · B · holistic

Movement-first / holistic

Treat the knee as undertrained rather than damaged. Build tissue capacity with backwards walking, deep ranges, and progressive load.

Week 0
Primary care visit

History, physical exam, range-of-motion test. Rule out infection, fracture, instability.

$80–$220 · Family / internal medicine MD
Day 1
Self-assess

Identify pain pattern: deep squat? stairs? straight leg raise? Map daily flare triggers.

$0 · You · camera, floor, journal
Week 1–2
Imaging

X-ray first (alignment, joint space, fracture). MRI if symptoms persist or meniscus/ligament suspected.

$185 X-ray · $420–$1,200 MRI · Radiology / outpatient imaging center
Week 1–2
KOT Zero · entry protocol

Backwards sled drag, ATG split squat (assisted), tibialis raises, patrick step, VMO step-ups.

$59 / mo app · $0 DIY · Ben Patrick (Knees Over Toes Guy)
Week 2–6
Physical therapy

Quad / hip / glute strengthening. Manual therapy. Patellar taping. Home program.

$75–$160 / session · Licensed PT · 6–8 sessions
Week 2–8
Build range + capacity

Slant board squats, sissy squats, Nordic curls, deep step-ups. Backwards treadmill if available.

$0–$140 / session · Self-directed · or in-person mentor
Month 2+
Orthopedic consult

Second opinion. Often suggests corticosteroid injection or PRP. Discusses arthroscopy thresholds.

$280–$520 first visit · Orthopedic surgeon · sports med MD
Month 2+
Programming

12-week block: split squat ladders, single-leg work, full ROM heavy days. Aaron Horschig for clinical cases.

$30 e-book · $59–$120 / mo · Knee Ability Zero / Squat University
Month 3+
Procedural / surgical

Meniscectomy or repair. Partial / total knee replacement if joint is bone-on-bone.

$3,800–$12,400 scope · Orthopedic surgeon · ASC or hospital
Ongoing
Maintenance practice

Minimum effective dose: a few sets of full-ROM most days. Heavier loading 2× / week. Reassess every 8 weeks.

$0 · You · 20–40 min, 3–5x / week
✦ THE MOVEMENT-FIRST SOURCES

Who built
track B.

The movement-first track is consolidated from what these coaches and PTs publish, with edits where peer-reviewed work disagrees.

Ben Patrick
2.9M FOLLOWERS
Ben Patrick
@kneesovertoesguy

"You can’t hurt what’s strong." Backwards walking, full ROM, tibialis training.

IG · YouTube · ATG appVIEW →
Aaron Horschig
4.2M FOLLOWERS
Aaron Horschig
Squat University

Bridges clinical PT with strength training. Form diagnostics, mobility, single-leg patterning.

YouTube · podcastVIEW →
Kelly Starrett
1.6M FOLLOWERS
Kelly Starrett
The Ready State

Mobility, daily movement hygiene, "supple" joints. Crossfit-adjacent rehab.

YouTube · booksVIEW →
Jeff Cavaliere
14M FOLLOWERS
Jeff Cavaliere
ATHLEAN-X

Clear movement breakdowns, common knee mistakes, glute / VMO emphasis.

YouTubeVIEW →
CONVENTIONAL MEDICINE · SOURCES
  • AAOS Clinical Practice GuidelinesSpecialty body
  • JAMA · NSAIDs for OA kneeMeta-analysis
  • Cochrane · Exercise for knee OASystematic review
MOVEMENT-FIRST / HOLISTIC · SOURCES
  • Ben Patrick · @kneesovertoesguyInfluencer · 2.9M
  • Aaron Horschig · Squat UniversityPT · 4.2M
  • Knee Ability Zero (Patrick, 2021)Self-published book
  • ATG · Athletic Truth GroupOnline coaching